Senior Long Term Disability Claims Specialist

This is a fully remote position, open to applicants in Nebraska, +1 more state.

📋 Description

• Oversee a variety of intricate long-term disability claims from the initial intake stage to final resolution.

• Make prompt, equitable, and precise decisions regarding claims.

• Partner with clinical and vocational professionals to develop return-to-work strategies and assess benefit eligibility.

• Act as a subject matter expert in long-term disability claim processes.

• Provide consultation on best practices and contribute to the development of internal procedures, workflows, and system requirements.

• Accurately document all decisions and interactions.

• Engage in communication with claimants, employers, and internal stakeholders.

• Mentor and assist in the onboarding process for new team members.

• Collaborate with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other departments.

• Identify areas for process improvement and contribute to ongoing enhancement and enterprise initiatives.

• Perform additional duties as assigned.

⛳️ Requirements

• In-depth knowledge of disability contract provisions, exclusions, riders, waivers, and relevant regulatory and statutory requirements (e.g., FMLA, ERISA, HIPAA).

• Proven experience in managing long-term disability claims from intake to resolution.

• Strong judgment and adherence to policy provisions.

• Capability to collaborate effectively with clinical and vocational partners.

• Proficient in clear communication with claimants, employers, and internal stakeholders.

• Ability to mentor and support the onboarding process for new team members.

• Commitment to maintaining confidentiality, professionalism, and integrity.

• Flexibility to adapt to evolving priorities, business requirements, and regulatory changes.

🏝️ Benefits

• Medical, Dental, Vision coverage.

• Wellbeing Reimbursement Account.

• Paid Time Off.

• Holiday Schedules.

• Financial Planning Time Off.

• Paid Parental Leave.

• Adoption Assistance Program.

• Competitive 401k savings plan with company match.

• Additional 401k contribution regardless of participation.

• Flexible benefits.

• Support for diversity and inclusion initiatives.